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1508274051
DIVINE KIMAH
NEW CARROLLTON, MD
NPI
1508274051
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: DC HHA10240)
Enumeration Date
2014-07-29
Last Update Date
2014-07-29
Business Address
-- DIVINE KIMAH
7837 RIVERDALE RD APT 302
NEW CARROLLTON, MD 20784-4020
Phone number: 240-264-9850
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Mailing Address
-- DIVINE KIMAH
7837 RIVERDALE RD APT 302
NEW CARROLLTON, MD 20784-4020
Phone number: 240-264-9850
Copy
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